Individual provider Active NPI

Matthew Dale Doerr, M.D.

  • Specialist
  • Richmond, VA
National Provider Identifier
1962792630
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101252608 Issued in VA
Practice address
8720 Stony Point Pkwy
Suite 135
Richmond, VA 23235-1988
Phone
(804) 272-8040
Fax
(804) 272-7344
NPI assigned
Apr 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101252608 VA
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 0101252608 VA
Specialist 174400000X 0101252608 VA Primary

Addresses

Primary practice location

8720 Stony Point Pkwy
Suite 135
Richmond, VA 23235-1988

Mailing address

8720 Stony Point Pkwy
Suite 135
Richmond, VA 23235-1988
Phone (804) 272-8040

Other identifiers 1

IdentifierTypeStateIssuer
1962792630MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620000457 VA Practitioner - OphthalmologyPractitioner - Other (Physician) 9931338738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Pediatric Ophthalmology Specialists, LLCGroup PAC ID 1254507171, 2 clinicians

Practice addresses (Care Compare)

8720 Stony Point Pkwy
Suite 135
Richmond, VA 23235-0017
Phone (804) 272-8040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101252608VAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Pediatric Ophthalmology Specialists, LLC Specialist CurrentSince Mar 30, 2016 Accepting new patients

Locations

4121 Cox Rd
Ste 105
Glen Allen, VA 23060

8720 Stony Point Pkwy
Ste 135
Richmond, VA 23235
Phone (804) 272-8040

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1962792630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 STONY POINT PKWY",
            "address_2": "SUITE 135",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351988",
            "telephone_number": "804-272-8040",
            "fax_number": "804-272-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 STONY POINT PKWY",
            "address_2": "SUITE 135",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351988",
            "telephone_number": "804-272-8040",
            "fax_number": "804-272-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERR",
        "first_name": "MATTHEW",
        "middle_name": "DALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101252608",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "VA",
            "license": "0101252608",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101252608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962792630",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.